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Organization
PROFILES II ORAL AND FACIAL SURGERY CENTER
Active
Organization
PROFILES II ORAL AND FACIAL SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE SCOTLAND (OFFICE MANAGER)
(561) 622-9065
Entity
Organization
Contact information
Practice address
2560 RCA BLVD, SUITE 102, PALM BEACH GARDENS, FL 33410-3338
(561) 622-9065
Mailing address
2560 RCA BLVD, SUITE 102, PALM BEACH GARDENS, FL 33410-3338
(561) 622-9065
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN17793
FL
Other
Enumeration date
11/13/2009
Last updated
07/15/2011
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